(Name of Insurer)
Annual Return
P&C - 1
Canadian
Property and Casualty Insurers
Jurisdiction of incorporation:
(2012)
Insurer Year
ANNUAL RETURN
P&C-1
TABLE OF CONTENTS
Page
General Information
Corporate Data, Officers, Auditor, Actuary 10.10
Directors 10.15
Annual Corporate Information (Quebec*) 10.16
Annual Corporate Information (All provinces) 10.17
Shares 10.20
Shareholders 10.20
Corporate Organization Chart 10.30
Other Information 10.40-.42
Summary of Selected Financial Data for five years 10.60
Financial Statements
Assets 20.10
Liabilities and Equity 20.20
Statement of Income 20.30
Statement of Retained Earnings 20.40
Reserves 20.40
Comprehensive Income(Loss) & Accumulated Other Comprehensive Income(Loss) 20.42
Statement of Cash Flows 20.52
Statement of Changes in Equity 20.54
Notes to Financial Statements 20.60
Auditor's Report 20.70
Appointed Actuary's Report 20.80
Statutory Compliance
Minimum Capital Test 30.70
Capital Required for Balance Sheet Assets 30.71
Capital Required for Balance Sheet Assets based on External Credit Ratings 30.73
Investments
Summary of Investments 40.07
Short Term Investments 40.12
Bonds and Debentures 40.22
Mortgage Loans 40.32
Preferred Shares 40.42
Common Shares 40.52
Investment Properties 40.70
Other Loans and Invested Assets 40.80
ANNUAL RETURN
P&C-1
TABLE OF CONTENTS
Page
Reinsurance Ceded
Premiums and Claims - Reinsurance Ceded 70.10
Summary of Reinsurance 70.21
Unregistered Insurers 70.38
Reinsurance and Other Non-owned Assets Held on Deposit and Letters of Credit 70.40
Financial Statements
Assets 92.10
Liabilities and Equity 92.20
Statement of Income 92.30
Statement of Retained Earnings 92.40
Reserves 92.40
Comprehensive Income(Loss) & Accumulated Other Comprehensive Income(Loss) 92.42
Miscellaneous
Premiums and Claims - Reinsurance Ceded (Quebec*) 95.10
Commissions (Quebec*) 95.20
Insurer Year
ANNUAL RETURN
for the year ended
01 ____________________
02 Insurer
03 Head Office Address
04 -
05 Mailing Address
06 (if different) -
07 Telephone ( )
08 Fax ( )
09 Website
20 Contact
21 Title
22 Telephone ( )
23 Fax ( )
24 Email Address
51 Secretary
52 Citizenship
53 Address
54 -
61 External Auditor*
62 Partner
63 Address
64 -
65 Telephone ( )
66 Fax ( )
72 Actuary*
73 Address
74 -
75 Telephone ( )
76 Fax ( )
* An Auditor's Report and an Actuary's Report are required to be filed with the Annual Return.
P&C-1 (2008)
(Next page is 10.15)
10.15
Insurer Year
01 DIRECTORS as at
(Date of filing return)
P&C-1 (2003)
(Next page is 10.16)
10.16
Insurer Year
ANNUAL CORPORATE INFORMATION
If changes have occurred regarding the chief representative in Quebec and the public information
appearing on the Website of the Autorité des marchés financiers (the "AMF") (www.lautorite.qc.ca)
is not accurate, the insurer must complete and attach the "Quebec Power of Attorney for
designation of a chief representative in Quebec" form, as required under the Act (s. 207 and 208),
available at:
http://www.lautorite.qc.ca/files/pdf/formulaires-professionnels/assureur/form-procurationrepr-princ-en.pdf
Order to commence and carry on business issued by OSFI or by the province of constitution
(for an insurer not incorporated under an Act of Québec):
Please attach a copy of the most recent Order issued by OSFI or by the province of constitution
indicating the authorized classes of insurance.
P&C-1 (2012)
(Next page is 10.17)
10.17
Insurer Year
ANNUAL CORPORATE INFORMATION
* PROVINCIAL PAGE
Please attach the most recent list of the various committees and their members (*) and identify the person
acting as President (Chair) of each committee.
* For professional orders, please provide information regarding directors and officers of the insurance fund,
not of the professional order.
P&C-1 (2012)
(Next page is 10.20)
10.20
Insurer Year
CONSOLIDATED
SHARES
Authorized Issued
Class and Full Description Number Amount Number Amount Amount
Paid Unpaid
(01) (02) (03) (04) (05) (06)
Common $'000 $'000 $'000
01
02
03
Preferred
04
05
06
SHAREHOLDERS
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
Total 89 100%
P&C-1 (2011)
(Next page is 10.30)
10.30
Insurer Year
Complete or attach a chart showing the interrelationships between the insurer, its immediate and ultimate
parent, and all other affiliated corporations (upstream and downstream), identifying the percentage of
beneficial ownership of each (see Section VI of the Annual Return Instructions).
P&C-1 (2011)
(Next page is 10.40)
10.40
Insurer Year
NON CONSOLIDATED
OTHER INFORMATION
20 Have there been any substantial changes in ownership since the date of
filing the last Annual Return? Y/N
If yes, give details:
21
22
23
30 Indicate the name and percentage of ownership of each corporation in which the insurer held 10%
or more of the voting rights as at year-end.
If necessary, provide details on an additional page.
Name Percentage Consolidated
31 Y/N
32 Y/N
33 Y/N
37 Y/N
38 Y/N
39 Y/N
35 Is the insurer licensed in, or does the insurer cover risks in any foreign jurisdiction?
Y/N
If yes, please provide details on page 90.15
(01) (02)
41 Name Type of service
P&C-1 (2011)
(Next page is 10.41)
10.41
Insurer Year
CONSOLIDATED
75 Has the insurer made any significant changes regarding reinsurance arrangements
during the year? Y/N
76 Has the insurer made any portfolio transfer, and/or commutation of reinsurance
treaties during the year? Y/N
83 What is the amount of retention (if any) within the catastrophe coverage layers? ($'000)
86 Based on the gross estimated catastrophe exposure above, what would be the net
retained loss (after all reinsurance)? ($'000)
73 Based on the gross estimated catastrophe exposure above, what would be the catastrophe
coverage(s) reinstatement cost for a full year? ($'000)
P&C-1 (2012)
(Next page is 10.42)
10.42
Insurer Year
CONSOLIDATED
20 Does the insurer have any significant dependencies not already disclosed in answer(s)
to previous questions or in the Notes to Financial Statements? Y/N
21
22
23
24
25
P&C-1 (2012)
(Next page is 10.60)
10.60
Insurer Year
CONSOLIDATED
(Current)
(01) (02) (03) (04) (05)
OPERATIONS
Assets 01
Liabilities 02
Adjusted Equity 04
Gross premiums written 05
Net premiums written 06
Net premiums earned 07
Gross claims incurred 08
PROFITABILITY
Claims ratio
- by year of account 30 % % % % %
- by year of accident 31 % % % % %
Expense ratio 33 % % % % %
Underwriting income (loss) 35
- as a % of net premiums earned 36 % % % % %
Net investment income from insurance operations 40
Net income (loss) from insurance operations
(line 35 + 40) 41
Net investment income - other 44
Net investment income (total) as a % of net
premiums earned [(line 40 + 44)/07] x 100 45 % % % % %
Investment yield 46 % % % % %
Net income (loss) 47
Return on equity 48 % % % % %
FINANCIAL
Dividends to shareholders 50
Share Capital and Contributed Surplus
paid in during the year 52
Share Capital and Contributed Surplus
redeemed during the year 54
OTHER RATIOS
Adjusted Equity as a % of liabilities 60 % % % % %
Gross risk ratio (line 05/line 04) 62
Net risk ratio (line 06/line 04) 64
Agents and brokers balances and amounts
due from subsidiaries and associates as
a % of Adjusted Equity 66 % % % % %
Claims development as a % of Adjusted Equity 68 % % % % %
P&C-1 (2012)
(Next page is 20.10)
20.10
Insurer Year
ASSETS
($'000)
Receivables:
50.20 Unaffiliated Agents and Brokers 20
Policyholders 21
Instalment Premiums 22
50.30 Other Insurers 23
Facility Association and the "P.R.R." 24
P&C-1 (2012)
(Next page is 20.20)
20.20
Insurer Year
LIABILITIES
Overdrafts 01
Borrowed Money and Accrued Interest 02
Payables:
50.20 Agents and Brokers 03
Policyholders 04
50.30 Other Insurers 05
50.40 Subsidiaries, Associates & Joint Ventures 06
Expenses due and accrued 07
Other Taxes due and accrued 09
Policyholder Dividends and Rating Adjustments 10
40.70 Encumbrances on Real Estate 11
60.10 Unearned Premiums 12
60.30 Unpaid Claims and Adjustment Expenses 13
80.10 Unearned Commissions 14
Premium Deficiency 15
Liabilities held for sale 17
Current Tax Liabilities 18
Deferred Tax Liabilities 21
50.50 Provisions and Other Liabilities 28
Total Liabilities 29
EQUITY
Shares issued and paid 41
Contributed Surplus 42
(Specify) 43
20.40 Retained Earnings 44
20.40 Reserves 45
20.42 Accumulated Other Comprehensive Income (Loss) 47
Total Policyholders/Shareholders' Equity 59
Non-controlling Interests 48
Total Equity 49
TOTAL LIABILITIES AND EQUITY 89
P&C-1 (2012)
(Next page is 20.30)
20.30
Insurer Year
CONSOLIDATED FINANCIAL STATEMENTS
STATEMENT OF INCOME
($'000)
FS Current Prior
Page Notes Year Year
Reference (01) (03)
UNDERWRITING OPERATIONS
Premiums Written
Direct 01
70.21 Reinsurance Assumed 02
70.21 Reinsurance Ceded 03
60.20 Net Premiums Written 04
Decrease (increase) in Net Unearned Premiums 05
60.20 Net Premiums Earned 06
Service Charges 07
Other 08
Total Underwriting Revenue 09
Gross Claims and Adjustment Expenses 62
Reinsurers' share of claims and adjustment expenses 64
60.20 Net Claims and Adjustment Expenses 10
Acquisition Expenses
80.10 Gross Commissions 66
80.10 Ceded Commissions 68
Taxes 12
80.20 Other 14
80.20 General Expenses 16
Total Claims and Expenses 19
Premium Deficiency Adjustments 20
Underwriting Income (Loss) 29
40.07 INVESTMENT OPERATIONS
Income 32
Realized Gains (Losses) 33
Expenses 34
Net Investment Income 39
OTHER REVENUE AND EXPENSES
Income (Loss) from Ancillary Operations
(net of Expenses of $'000 ...................) 40
Share of Net Income (Loss) of Subsidiaries, Associates
& Joint Ventures 41
Gains (Losses) from fluctuations in Foreign Exchange Rates 42
Other Revenues 44
Finance costs 45
Other Expenses 46
Net Income (Loss) before Income Taxes 49
INCOME TAXES
Current 50
Deferred 51
Total Income Taxes 59
NET INCOME (LOSS) FOR THE YEAR 89
ATTRIBUTABLE TO:
Non-controlling Interests 80
Equity Holders 82
P&C-1 (2012)
(Next page is 20.40)
20.40
Insurer Year
FS Current Prior
Page Notes Year Year
Reference (01) (02)
RESERVES
($000)
FS Current Prior
Page Notes Year Year
Reference (01) (02)
Earthquake Reserves
Reserve Complement 90
Premium Reserve 91
Mortgage Reserve 95
Nuclear Reserve 96
General and Contingency Reserves 98
Total Reserves 99
P&C-1 (2011)
(Next page is 20.42)
20.42
Insurer Year
CONSOLIDATED FINANCIAL STATEMENTS
COMPREHENSIVE INCOME (LOSS)
and
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)
($'000)
FS Current Prior
Page Notes Year Year
Reference (01) (03)
Current Prior
Year Year
(01) (03)
Accumulated Other Comprehensive Income (Loss)
Accumulated Gains (Losses) on:
Available for Sale:
- Loans 42
- Bonds and Debentures 43
- Equities 44
Derivatives Designated as Cash Flow Hedges 45
Foreign Currency (net of hedging activities) 46
Revaluation Surplus 71
Share of Other Comprehensive Income of Subsidiaries,
Associates & Joint Ventures 51
Other 49
20.20 Balance at end of Year 59
P&C-1 (2012)
(Next page is 20.52)
20.52
Insurer Year
CONSOLIDATED FINANCIAL STATEMENTS
STATEMENT OF CASH FLOWS *
($'000)
* Insurers must attach a Statement of Cash Flows as prepared for the insurer's
financial statements on this tab.
P&C-1 (2011)
(Next page is 20.54)
20.54
Insurer Year
P&C-1 (2012)
(Next page is 20.60)
20.60
Insurer Year
CONSOLIDATED
* Insurers must attach their notes to the financial statements on this tab.
P&C-1 (2011)
(Next page is 20.70)
20.70
Insurer Year
CONSOLIDATED
AUDITOR REPORTS *
* Federally regulated insurers must file their Auditor Reports as separate documents as
defined in the Automated Data Transfer (ADT) User Guide.
** All other insurers must attach the Auditor's Report on this tab.
P&C-1 (2012)
Next Page is 20.70
20.80
Insurer Year
CONSOLIDATED
For the exact wording for the Expression of Opinion, please refer to the
Memorandum to the Appointed Actuary (P&C Insurance).
* Federally regulated insurers are required to file the Appointed Actuary's Report as a separate
document as defined in the Automated Data Transfer (ADT) User Guide.
** All other insurers must attach the Appointed Actuary's Report on this tab.
P&C-1 (2012)
Next Page is 30.70
30.70
Insurer Year
CONSOLIDATED
Current Prior
Year Year
(01) (02)
Capital Available
Total Equity less Accumulated Other Comprehensive Income 02
Add:
Subordinated Indebtedness and Redeemable Preferred Shares 03
Accumulated Other Comprehensive Income (Loss) on:
Available for Sale Equity Securities 04
Available for Sale Debt Securities 06
Foreign Currency (Net of Hedging Activities) 08
Share of Other Comprehensive Income of non-qualifying Subsidiaries,
Associates & Joint Ventures 36
Revaluation Losses in Excess of Gains on Own Use Properties 32
(Specify) 30
Less:
Accumulated net after-tax fair value gains (losses) arising from
changes in the company's own credit risk 12
Unrealized Fair Value Gains (Losses) from Own Use
Properties at Conversion 15
Shadow Accounting Impact 16
Assets with a Capital Requirement of 100% 17
(Specify) 13
IFRS Conversion Phase in 18
Total Capital Available 19
Note: See Section VI of the P&C-1 instructions and the MCT Guideline. P&C-1 (2012)
(Next page is 30.71)
30.71
Insurer Year
CONSOLIDATED
MINIMUM CAPITAL TEST
CAPITAL REQUIRED FOR BALANCE SHEET ASSETS
($'000)
Factor Balance Capital
Sheet Required
(%) Value
(01) (02) (03)
Cash 01 0.00%
Investment Income Due and Accrued 02 2.00%
Investments:
Term Deposits, Bonds and Debentures 06
Commercial Paper 07
Loans (at amortized cost):
Government Grade 13 0.00%
Loans rated A- and higher, and Residential Mortgages 14 4.00%
Commercial Mortgages 15 8.00%
Other 18 10.00%
Subsidiaries, Associates & Joint Ventures (not considered capital) 23 35.00%
Adjustment to reflect difference between amortized cost
and Balance Sheet value of loans 19
Preferred Shares 25
Common Shares 27 15.00%
Investment Properties 30 15.00%
Interests in Subsidiaries, Associates & Joint Ventures 34 Note
Other Investments 35 Note
Receivables:
Government Grade 50 0.00%
Facility Association and the "P.R.R." 51 0.50%
Agents, Brokers, Policyholders, Associates,
Joint Ventures, Non-qualifying Subsidiaries and Other Receivables:
- Instalment Premiums (not yet due) 54 0.00%
- Outstanding less than 60 days 55 4.00%
- Outstanding 60 days or more 56 8.00%
Insurers - Registered Associated 42 0.00%
- Registered Non-associated 57 0.50%
- Unregistered 58
Recoverable from Reinsurers:
- Registered Associated - Unearned Premiums 45 0.00%
- Unpaid Claims 46 0.00%
- Registered Non-associated - Unearned Premiums 60 0.50%
- Unpaid Claims 61 2.00%
- Unregistered 63
Other Recoverables on Unpaid Claims including SIRs not deducted from capital 65 15.00%
Own Use Properties (valued using cost model) 75 8.00%
Adjustment to reflect difference between cost model
and Balance Sheet value of Own use Properties 70
Deferred Policy Acquisition Expenses:
Premium Taxes 76 0.00%
Commissions 77 Note
Other 78 Note
Deferred Tax Assets:
Discounted Reserves and Unrealized Gains 80 0.00%
Other 81 Note
Other Assets:
Goodwill and Other Intangibles 85 Note
Computer Software 84 35.00%
Other Assets (net of Goodwill, Other Intangibles and Computer Software) 86 Note
(Specify) 88 Note
TOTAL 89
Note: See Section VI of the P&C-1 instructions and the MCT Guideline. P&C-1 (2012)
(Next page is 30.73)
30.73
(Date)
Insurer
CONSOLIDATED
CAPITAL REQUIRED FOR BALANCE SHEET ASSETS BASED ON EXTERNAL CREDIT RATINGS
($000)
Commercial Paper
Balance Sheet Capital Capital Required
Rating Value Factor Col.(01x02)
(01) (02) (09)
A-1, F1, P-1, R-1 or equivalent 20 0.25%
A-2, F2, P-2, R-2 or equivalent 21 0.50%
A-3, F3, P-3, R-3 or equivalent 22 2.00%
All other ratings, including non-prime and B or C ratings 23 8.00%
Total 29
Preferred Shares
Balance Sheet Capital Capital Required
Rating Value Factor Col.(01x02)
(01) (02) (09)
AAA, AA+ to AA-, Pfd-1, P-1 or equivalent 40 3.00%
A+ to A-, Pfd-2, P-2 or equivalent 41 5.00%
BBB+ to BBB-, Pfd-3, P-3 or equivalent 42 10.00%
BB+ to BB-, Pfd-4, P-4 or equivalent 43 20.00%
B+ or lower, Pfd-5, P-5 or equivalent or unrated 44 30.00%
Total 49
Note: See Section VI of the P&C-1 instructions and the MCT Guideline.
P&C-1 (2012)
(Next page is 40.07)
40.07
Insurer Year
CONSOLIDATED
SUMMARY OF INVESTMENTS
($'000)
Out of Canada 40
Foreign Pay Securities 41
Individual Holdings:
Largest Exposure to an Entity or Connected Group 50
2nd Largest Exposure to an Entity or Connected Group 51
Largest Pooled Holding 60
2nd Largest Pooled Holding 61
P&C-1 (2012)
(Next page is 40.12)
40.12
Insurer Year
CONSOLIDATED
SHORT TERM INVESTMENTS
($ 000)
P&C-1 (2012)
(Next page is 40.22)
40.22
Insurer Year
CONSOLIDATED
BONDS AND DEBENTURES
($ 000)
Total Bonds rated BBB+ and lower - Expiring or redeeming in one year or less 69
Total Bonds rated BBB+ and lower - > 1 year and ≤ 5 years 79
P&C-1 (2012)
(Next page is 40.32)
40.32
Insurer Year
CONSOLIDATED
MORTGAGE LOANS
($ 000)
Current Balance
Where/By whom kept Description Identification Date of Issue Interest Rate Original Original Value Market Value Sheet
Number Loan Amount of Property of Property Value
(01) (02) (03) (04) (05) (06) (07) (08) (09)
P&C-1 (2012)
(Next page is 40.42)
40.42
Insurer Year
CONSOLIDATED
PREFERRED SHARES
($ 000)
Fair Value Balance
Where/ Number Held for Available Hedges Fair Value Amortized Sheet Value Original
By whom kept Description of Shares Trading for Sale Option Cost (10+12+14 Cost
+16+18)
(01) (02) (03) (10) (12) (14) (16) (18) (29) (39)
P&C-1 (2012)
(Next page is 40.52)
40.52
Insurer Year
CONSOLIDATED
COMMON SHARES
($ 000)
Fair Value
Where / Number of Held for Available Hedges Fair Value Balance Original
By whom kept Description Shares Trading for Sale Option Sheet Value Cost
(10+12+14+16)
(01) (02) (03) (10) (12) (14) (16) (29) (39)
P&C-1 (2011)
(Next page is 40.70)
40.70
Insurer Year
CONSOLIDATED
INVESTMENT PROPERTIES
($'000)
Equipment 80
P&C-1 (2012)
(Next page is 40.80)
40.80
Insurer Year
CONSOLIDATED
Total 89
P&C-1 (2012)
(Next page is 50.20)
50.20
Insurer Year
CONSOLIDATED
All Others
Sub-Total 39
Less: Allowance for Doubtful Accounts 40
Total 49
Number of Agents and Brokers 59
OTHER RECEIVABLES
($'000)
Description
(02)
See Section VI of the Annual Return Instructions
All Others
Total 89
P&C-1 (2011)
(Next page is 50.30)
50.30
Insurer Year
CONSOLIDATED
Receivable Payable
Name of Insurer In Arrears Total Total
(01) (02) (03) (04)
Registered
Total Registered 49
Unregistered
Total Unregistered 79
Less : Allowance for Doubtful Accounts 80
Total 89
P&C-1 (2011)
(Next page is 50.40)
50.40
Insurer Year
CONSOLIDATED
INTERESTS IN AND AMOUNTS RECEIVABLE FROM/PAYABLE TO SUBSIDIARIES, ASSOCIATES & JOINT VENTURES
Loans not
Interests/Loans considered as capital considered Receivable
as capital
% of Balance Increased Balance
Name of Entity Number of % Voting Aquisition Market Value Sheet (Decreased) in Sheet In Arrears Total Payable
and Description of Shares Shares Owned Rights Cost Value Balance Sheet Value
Value
(01) (02) (03) (04) (05) (06) (07) (08) (14) (09) (10) (11)
Total Other 79
Total 89
P&C-1 (2012)
(Next page is 50.50)
50.50
Insurer Year
CONSOLIDATED
Other assets
(02)
Computer Software 30
Miscellaneous 38
P&C-1 (2012)
(Next page is 60.10)
60.10
Insurer Year
CONSOLIDATED
UNEARNED PREMIUMS
($'000)
Unearned Premiums
Direct Reinsurance Reinsurance Net
assumed ceded (01 + 02 - 03)
Class of Insurance
(01) (02) (03) (04)
Property - Personal excluding Home and Product Warra 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
P&C-1 (2012)
(Next page is 60.20)
60.20
Insurer Year
CONSOLIDATED
PREMIUMS AND CLAIMS
($'000)
Number of Number Premiums written less return premiums Net unearned Net unearned Net unearned Net premiums Claims incurred including adjustment expenses Claims ratio
Policies of Direct Direct Reinsurance Reinsurance Net written premiums at premiums premiums at earned Direct Reinsurance Reinsurance Net incurred (11/07)
Class of Insurance in force Claims assumed ceded (01+02-03) beginning of resulting from period end (04+05+25-06) assumed ceded (08+09-10) %
year a portfolio
acquisition/
disposition
(21) (23) (01) (02) (03) (04) (05) (25) (06) (07) (08) (09) (10) (11) (12)
Property - Personal excluding Home and Product Warra 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
P&C-1 (2012)
(Next page is 60.21)
60.21
Insurer Year
CONSOLIDATED
CLAIMS INCURRED - UNDISCOUNTED
($'000)
Claims incurred undiscounted
Reinsurance Reinsurance Net incurred
Class of Insurance Direct assumed ceded (08+09-10)
(08) (09) (10) (11)
Property - Personal excluding Home and Product Warra 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
Insurer Year
CONSOLIDATED
CLAIMS AND ADJUSTMENT EXPENSES - PAID, CURRENT YEAR AND UNPAID, CURRENT AND PRIOR YEAR
($'000)
Claims and adjustment expenses paid - current year Provision for unpaid claims (including unreported) and Margin or deficiency for unpaid claims at prior year
adjustment expenses - current year
Net amount Investment Net provision
Net provision paid during income on for claims of Margin or
Reinsurance Reinsurance Net Reinsurance Reinsurance Net at prior the year unpaid claims prior years (Deficiency)
Class of Insurance Direct assumed ceded (01+02-03) Direct assumed ceded (05+06-07) year end for claims of of prior years (09-10+13-15)
prior years
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (13) (15) (19)
Property - Personal excluding Home and Product Warran 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
Insurer Year
CONSOLIDATED
NET CLAIMS AND ADJUSTMENT EXPENSES - RUN-OFF
($'000)
* UCAE= Unpaid Claims and Adjustment Expenses (excluding IBNR). P&C-1 (2011)
(Next page is 60.41)
60.41
Insurer Year
CONSOLIDATED
NET CLAIMS AND ADJUSTMENT EXPENSES - RUN-OFF - DISCOUNTED
($'000)
…….. …….. …….. …….. …….. ……..
and …….. and prior …….. and prior …….. and prior …….. and prior …….. and prior
prior years (02) + (03) (04) + (05) (06) + (07) (08) + (09) (10) + (11)
(02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12)
…….. * UCAE, end of year 01
IBNR, end of year 02
…….. Paid during year 10
UCAE, end of year 11
IBNR, end of year 12
Investment Income from UCAE & IBNR 13
Ratio: excess (deficiency) 19
…….. Paid during year 20
UCAE, end of year 21
IBNR, end of year 22
Investment Income from UCAE & IBNR 23
Ratio: excess (deficiency) 29
…….. Paid during year 30
UCAE, end of year 31
IBNR, end of year 32
Investment Income from UCAE & IBNR 33
Ratio: excess (deficiency) 39
…….. Paid during year 40
UCAE, end of year 41
IBNR, end of year 42
Investment Income from UCAE & IBNR 43
Ratio: excess (deficiency) 49
…….. Paid during year 50
UCAE, end of year 51
IBNR, end of year 52
Investment Income from UCAE & IBNR 53
Amount: excess (deficiency) 54
Ratio: excess (deficiency) 59
* UCAE= Unpaid Claims and Adjustment Expenses (excluding IBNR). P&C-1 (2011)
(Next page is 60.50)
60.50
Insurer Year
CONSOLIDATED
(01)
P&C-1 (2012)
(Next page is 67.10)
67.10
Insurer Year
CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF PREMIUMS WRITTEN
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
LICENSED (Y / N) 01
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
Dividends - direct 99
P&C-1 (2012)
(Next page is 67.20)
67.20
Insurer Year
CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF PREMIUMS EARNED
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
P&C-1 (2012)
(Next page is 67.30)
67.30
Insurer Year
CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF CLAIMS INCURRED INCLUDING ADJUSTMENT EXPENSES
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
P&C-1 (2012)
(Next page is 67.31)
67.31
Insurer Year
CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF CLAIMS INCURRED INCLUDING ADJUSTMENT EXPENSES - UNDISCOUNTED
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
P&C-1 (2012)
(Next page is 70.10)
70.10
Insurer Year
CONSOLIDATED
(02) (03) (04) (05) (06) (07) (08) (09) (10) (11)
TOTAL 89
P&C-1 (2011)
(Next page is 70.21)
70.21
Insurer Year
CONSOLIDATED
SUMMARY OF REINSURANCE
($'000)
All others
Total 99
P&C-1 (2012)
(Next page is 70.38)
70.38
Insurer Year
CONSOLIDATED
Premiums Claims Unearned Outstanding 10% margin Receivable Payable to Non-owned Letters of Recoverables Non-owned Margin
ceded incurred by premiums losses on unearned from assuming deposits held credit (LOCs) in excess of deposits and required
to assuming assuming ceded to recoverable premiums and assuming insurer as security held as Non-owned LOCs in (06-15/1.5)
Name of assuming insurer insurer insurer assuming from assuming outstanding insurer from assuming security Deposits excess of where
insurer insurer losses insurer from and LOCs recoverables positive
recoverable assuming (04+05+07 (12+16-(04+05
insurer -08-12-16) +07-08))
where positive where positive
(02) (03) (04) (05) (06) (07) (08) (12) (16) (14) (15) (17)
Associated and non-qualifying subsidiary
TOTAL BUSINESS 89
Note: See Section VI of the P&C-1 instructions and the MCT Guideline. P&C-1 (2012)
(Next page is 70.40)
70.40
Insurer Year
CONSOLIDATED
P&C-1 (2011)
(Next page is 80.10)
80.10
Insurer Year
CONSOLIDATED
COMMISSIONS
($'000)
Property - total 09
Automobile - total 29
Liability 59
Marine 68
Other 75
TOTAL 79
Summary of Commissions
Gross:
Commission Expense (line 79, column 02+04+05-08) 30
Contingent Commissions 33
Other Non-Deferrable Commissions 35
Total Gross (line 30+33+35) 39
Ceded:
Commission Income (line 79, column 03+06-09) 40
Contingent Commissions 43
Other Non-Deferrable Commissions 45
Total Ceded (line 40+43+45) 49
TOTAL NET COMMISSIONS (line 39-49) 89
P&C-1 (2011)
(Next page is 80.20)
80.20
Insurer Year
CONSOLIDATED
Acquisition Expenses
Expense Classification Deferred at End Attributable to General Internal
of Year the Year Expenses Adjustment
Expenses
(01) (02) (04) (06)
Salaries and employee benefits 50
Directors remuneration 52
Agency (excluding commissions) 54
Management fees 60
Professional fees 62
Occupancy 70
Information technology 72
Inspections and Investigations 74
Bureaus and Associations 76
Home Office overhead 78
Allowance 80
Regulatory assessments 82
Other expenses 88
Total 89
P&C-1 (2012)
(Next page is 90.15)
90.15
Insurer Year
CONSOLIDATED
Page 90.15 is to be completed if the insurer is licensed in, or covers risks in any
foreign jurisdiction. Page 90.70 is to be completed only if business covering risks outside
of Canada constitutes more than 10% of either gross or net claims, incurred or unpaid,
or 10% of gross or net premiums written.
P&C-1 (2011)
(Next page is 90.70)
90.70
Insurer Year
CONSOLIDATED
REINSURANCE CEDED - OUT OF CANADA BUSINESS
($'000 - Cdn)
Insurer Year
ASSETS
($'000)
Current Prior
Year Year
(01) (03)
Investments:
Short Term Investments 04
Bonds and Debentures 05
Mortgage Loans 06
Preferred Shares 07
Common Shares 08
Investment Properties 09
Other Loans and Invested Assets 10
Receivables:
Unaffiliated Agents and Brokers 20
Policyholders 21
Instalment Premiums 22
Other Insurers 23
Facility Association and the "P.R.R." 24
Subsidiaries, Associates & Joint Ventures 25
Other Receivables 27
P&C-1 (2012)
(Next page is 92.20)
92.20
Insurer Year
Current Prior
Year Year
(01) (03)
LIABILITIES
Overdrafts 01
Borrowed Money and Accrued Interest 02
Payables:
Agents and Brokers 03
Policyholders 04
Other Insurers 05
Subsidiaries, Associates & Joint Ventures 06
Expenses due and accrued 07
Other Taxes due and accrued 09
Policyholder Dividends and Rating Adjustments 10
Encumbrances on Real Estate 11
Unearned Premiums 12
Unpaid Claims and Adjustment Expenses 13
Unearned Commissions 14
Premium Deficiency 15
Liabilities held for sale 17
Current Tax Liabilities 18
Deferred Tax Liabilities 21
Provisions and Other Liabilities 28
Total Liabilities 29
EQUITY
Shares issued and paid 41
Contributed Surplus 42
(Specify) 43
Retained Earnings 44
Reserves 45
Accumulated Other Comprehensive Income (Loss) 47
Total Equity 49
TOTAL LIABILITIES AND EQUITY 89
P&C-1 (2012)
(Next page is 92.30)
92.30
Insurer Year
NON CONSOLIDATED FINANCIAL STATEMENTS
STATEMENT OF INCOME
($'000)
Current Prior
Year Year
(01) (03)
UNDERWRITING OPERATIONS
Premiums Written
Direct 01
Reinsurance Assumed 02
Reinsurance Ceded 03
Net Premiums Written 04
Decrease (increase) in Net Unearned Premiums 05
Net Premiums Earned 06
Service Charges 07
Other 08
Total Underwriting Revenue 09
Gross Claims and Adjustment Expenses 62
Reinsurers' share of claims and adjustment expenses 64
Net Claims and Adjustment Expenses 10
Acquisition Expenses
Gross Commissions 66
Ceded Commissions 68
Taxes 12
Other 14
General Expenses 16
Total Claims and Expenses 19
Premium Deficiency Adjustments 20
Underwriting Income (Loss) 29
INVESTMENT OPERATIONS
Income 32
Realized Gains (Losses) 33
Expenses 34
Net Investment Income 39
OTHER REVENUE AND EXPENSES
Income (Loss) from Ancillary Operations
(net of Expenses of $'000 ...................) 40
Share of Net Income (Loss) of Subsidiaries, Associates & Joint Ventures 41
Gains (Losses) from fluctuations in Foreign Exchange Rates 42
Other Revenues 44
Finance costs 45
Other Expenses 46
Net Income (Loss) before Income Taxes 49
INCOME TAXES
Current 50
Deferred 51
Total Income Taxes 59
NET INCOME (LOSS) FOR THE YEAR 89
P&C-1 (2012)
(Next page is 92.40)
92.40
Insurer Year
Current Prior
Year Year
(01) (02)
RESERVES
($000)
Current Prior
Year Year
(01) (02)
Earthquake Reserves
Reserve Complement 90
Premium Reserve 91
Mortgage Reserve 95
Nuclear Reserve 96
General and Contingency Reserves 98
Total Reserves 99
P&C-1 (2011)
(Next page is 92.42)
92.42
Insurer Year
NON CONSOLIDATED FINANCIAL STATEMENTS
COMPREHENSIVE INCOME (LOSS)
and
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)
($'000)
Current Prior
Year Year
(01) (03)
Current Prior
Year Year
(01) (03)
Accumulated Other Comprehensive Income (Loss)
Accumulated Gains (Losses) on:
Available for Sale:
- Loans 42
- Bonds and Debentures 43
- Equities 44
Derivatives Designated as Cash Flow Hedges 45
Foreign Currency (net of hedging activities) 46
Revaluation Surplus 71
Share of Other Comprehensive Income of Subsidiaries,
Associates & Joint Ventures 51
Other 49
Balance at end of Year 59
P&C-1 (2012)
(Next page is 93.10)
93.10
Insurer Year
NON CONSOLIDATED
PREMIUMS AND CLAIMS
($'000)
Number of Number Premiums written less return premiums Net unearned Net unearned Net unearned Net premiums Claims incurred including adjustment expenses Claims ratio
Policies of Direct Direct Reinsurance Reinsurance Net written premiums at premiums premiums at earned Direct Reinsurance Reinsurance Net incurred (11/07)
Class of Insurance in force Claims assumed ceded (01+02-03) beginning of resulting from period end (04+05+25-06) assumed ceded (08+09-10) %
year a portfolio
acquisition/
disposition
(21) (23) (01) (02) (03) (04) (05) (25) (06) (07) (08) (09) (10) (11) (12)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
P&C-1 (2012)
(Next page is 93.11)
93.11
Insurer Year
NON CONSOLIDATED
CLAIMS INCURRED - UNDISCOUNTED
($'000)
Claims incurred undiscounted
Reinsurance Reinsurance Net incurred
Class of Insurance Direct assumed ceded (08+09-10)
(08) (09) (10) (11)
Property - Personal excluding Home and Product Warran 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
Insurer Year
NON CONSOLIDATED
CLAIMS AND ADJUSTMENT EXPENSES - PAID, CURRENT YEAR AND UNPAID, CURRENT AND PRIOR YEAR
($'000)
Claims and adjustment expenses paid - current year Provision for unpaid claims (including unreported) and Margin or deficiency for unpaid claims at prior year
adjustment expenses - current year
Net amount Investment Net provision
Net provision paid during income on period end Margin or
Reinsurance Reinsurance Net Reinsurance Reinsurance Net at prior the year unpaid claims for claims of (Deficiency)
Class of Insurance Direct assumed ceded (01+02-03) Direct assumed ceded (05+06-07) year end for claims of of prior years prior years (09-10+13-15)
prior years
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (13) (15) (19)
Property - Personal excluding Home and Product Warran 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
TOTAL 89
Insurer Year
NON CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF PREMIUMS WRITTEN
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
LICENSED (Y / N) 01
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
Dividends - direct 99
P&C-1 (2012)
(Next page is 93.35)
93.35
Insurer Year
NON CONSOLIDATED
INSURERS LICENSED IN QUEBEC
PROVINCIAL AND TERRITORIAL EXHIBIT OF PREMIUMS WRITTEN (Policies with a term of more than 12 months)
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
Dividends - direct 99
P&C-1 (2012)
(Next page is 93.40)
93.40
Insurer Year
NON CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF PREMIUMS EARNED
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
P&C-1 (2012)
(Next page is 93.50)
93.50
Insurer Year
NON CONSOLIDATED
PROVINCIAL AND TERRITORIAL EXHIBIT OF CLAIMS INCURRED INCLUDING ADJUSTMENT EXPENSES
($'000)
Prince New British Northwest Out of Total
Newfoundland Edward Nova Scotia Brunswick Quebec Ontario Manitoba Saskatchewan Alberta Columbia Yukon Territories Nunavut Canada
Class of Insurance & Labrador Island
(01) (02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12) (14) (18) (19)
Property - Personal excluding Home and Product Warranty 03
- Home Warranty 04
- Product Warranty 05
- Commercial 07
Property - total 09
Aircraft 10
Automobile:
Private Passenger - Liability 11
- Personal Accident 12
- Other 13
Subtotal - Private Passenger 14
Other than Private Passenger - Liability 15
- Personal Accident 16
- Other 17
Subtotal - Other than Private Passenger 18
Facility Assoc. Residual Market - Liability 22
- Personal Accident 23
- Other 24
Subtotal - Facility Assoc. Residual Market 25
Automobile - Subtotal - Liability 19
- Personal Accident 20
- Other 21
Automobile - total 29
Boiler and Machinery excluding Equipment Warranty 32
- Equipment Warranty 33
Credit 34
Credit Protection 35
Fidelity 36
Hail 38
Legal Expense 40
Liability 59
Mortgage 62
Other Approved Products 63
Surety 64
Title 66
Marine 68
Accident and Sickness 70
Total - direct 79
Reinsurance assumed 87
Reinsurance ceded 88
TOTAL - NET 89
P&C-1 (2012)
(Next page is 93.60)
93.60
Insurer Year
NON CONSOLIDATED
NET CLAIMS AND ADJUSTMENT EXPENSES - RUN-OFF
($'000)
* UCAE= Unpaid Claims and Adjustment Expenses (excluding IBNR). P&C-1 (2011)
(Next page is 93.61)
93.61
Insurer Year
NON CONSOLIDATED
NET CLAIMS AND ADJUSTMENT EXPENSES - RUN-OFF - DISCOUNTED
($'000)
…….. …….. …….. …….. …….. ……..
and …….. and prior …….. and prior …….. and prior …….. and prior …….. and prior
prior years (02) + (03) (04) + (05) (06) + (07) (08) + (09) (10) + (11)
(02) (03) (04) (05) (06) (07) (08) (09) (10) (11) (12)
…….. * UCAE, end of year 01
IBNR, end of year 02
…….. Paid during year 10
UCAE, end of year 11
IBNR, end of year 12
Investment Income from UCAE & IBNR 13
Ratio: excess (deficiency) 19
…….. Paid during year 20
UCAE, end of year 21
IBNR, end of year 22
Investment Income from UCAE & IBNR 23
Ratio: excess (deficiency) 29
…….. Paid during year 30
UCAE, end of year 31
IBNR, end of year 32
Investment Income from UCAE & IBNR 33
Ratio: excess (deficiency) 39
…….. Paid during year 40
UCAE, end of year 41
IBNR, end of year 42
Investment Income from UCAE & IBNR 43
Ratio: excess (deficiency) 49
…….. Paid during year 50
UCAE, end of year 51
IBNR, end of year 52
Investment Income from UCAE & IBNR 53
Amount: excess (deficiency) 54
Ratio: excess (deficiency) 59
* UCAE= Unpaid Claims and Adjustment Expenses (excluding IBNR). P&C-1 (2011)
(Next page is 95.10)
95.10
Insurer Year
NON CONSOLIDATED
INSURERS LICENSED IN QUEBEC
PREMIUMS AND CLAIMS - REINSURANCE CEDED
($'000)
(02) (03) (04) (05) (06) (07) (08) (09) (10) (11)
TOTAL 89
P&C-1 (2011)
(Next page is 95.20)
95.20
Insurer Year
NON CONSOLIDATED
INSURERS LICENSED IN QUEBEC
COMMISSIONS
($'000)
Property - total 09
Automobile - total 29
Liability 59
Marine 68
Other 75
TOTAL 79
Summary of Commissions
Gross:
Commission Expense (line 79, column 02+04+05-08) 30
Contingent Commissions 33
Other Non-Deferrable Commissions 35
Total Gross (line 30+33+35) 39
Ceded:
Commission Income (line 79, column 03+06-09) 40
Contingent Commissions 43
Other Non-Deferrable Commissions 45
Total Ceded (line 40+43+45) 49
TOTAL NET COMMISSIONS (line 39-49) 89
P&C-1 (2011)
(Next page is 99.10)
99.10
Insurer Year
WE, OF THE
(Print or type)
OF IN THE PROVINCE OF
AND OF THE
OF IN THE PROVINCE OF
BEING AND
RESPECTIVELY OF
(HEREINAFTER CALLED "THE INSURER") DO SEVERALLY MAKE OATH AND SAY AS FOLLOWS:
That the foregoing annual return, together with the related exhibits, schedules
and explanations filed or to be filed as part thereof, is a full and correct report of
all assets, liabilities, income, expenditure and of the condition and affairs of the
insurer in respect of its business of insurance, as of the
31st day of ..................................... 20 ......., and for the year ended on that day;
That all the assets reported in the said annual return and schedules were, as of the
31st day of ..................................... 20 ......., the absolute property of the insurer free
and clear from any liens and claims except as therein stated;
That we have satisfied ourselves, based on the information currently available, that
the provision for unpaid claims and adjustment expenses, as shown in the annual
return is adequate to cover all costs of ultimate settlement, including internal and
external adjustment expenses and claims that have been incurred but not reported;
That the insurer is in compliance with the applicable Federal, Provincial and
Territorial Insurance Acts and Regulations.
(Signature)
(Signature)
OF IN THE PROVINCE
OF THIS
DAY OF 20
P&C-1 (2003)
End